Organization
AMBULATORY CARE CENTER OF WARTBURG PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC M REDMON MD (DIRECTOR)
(423) 346-5566
Entity
Organization
Contact information
Practice address
1236 KNOXVILLE HWY, WARTBURG, TN 37887-4200
(423) 346-5566
(423) 346-5631
Mailing address
PO BOX 368, WARTBURG, TN 37887-0368
(423) 346-5566
(423) 346-5631
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3721832
—
TN
Enumeration date
02/09/2007
Last updated
04/15/2010
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